NPIMap

Organization Active NPI

Malcolm Counseling and Dui Services, LLC.

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1194157966
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
698 Issued in OK
Legal business name
MALCOLM COUNSELING AND DUI SERVICES, LLC.
Practice address
4500 N Lincoln Blvd
Suite 105
Oklahoma City, OK 73105-3406
Phone
(405) 601-5553
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lamont Rudolph Malcolm, LADC, CM-III
Title
Owner, Counselor, Dui Assessor
Phone
(405) 637-5935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 698 OK Primary

Addresses

Primary practice location

4500 N Lincoln Blvd
Suite 105
Oklahoma City, OK 73105-3406

Mailing address

4500 N Lincoln Blvd
Suite 105
Oklahoma City, OK 73105-3406
Phone (405) 601-5553

National Provider Directory

National Provider Directory

Locations

4500 N Lincoln Blvd
Ste 105
Oklahoma City, OK 73105
Phone (203) 644-7920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1194157966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N LINCOLN BLVD",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731053406",
            "telephone_number": "405-601-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N LINCOLN BLVD",
            "address_2": "SUITE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731053406",
            "telephone_number": "405-601-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM COUNSELING AND DUI SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER, COUNSELOR, DUI ASSESSOR",
        "authorized_official_telephone_number": "405-637-5935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC, CM-III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OK",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.